| NPI | 1629340757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90386) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67009) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2019-08-01 |